We propose to improve medical decision making and reduce global health care costs by employing a free Internet-based medical information system with two main target groups: practicing physicians and medical researchers. After acquiring patients' consent, physicians enter medical histories, physiological data and symptoms or disorders into the system; an integrated expert system can then assist in diagnosis and statistical software provides a list of the most promising treatment options and medications, tailored to the patient. Physicians later enter information about the outcomes of the chosen treatments, data the system uses to optimize future treatment recommendations. Medical researchers can analyze the aggregate data to compare various drugs or treatments in defined patient populations on a large scale.